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West Virginia rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.79 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $0.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.71 / $1.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.71 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.71 / $19.64